Returning Athletes

Submit the first three (3) forms and then in Injury Zone update your demographic/address information and fill out a new health history form. These all must be completed before you are able to participate in any MSU practice!!!  Please read the NEW section on ADD and ADHD medications at the bottom of the page.

Forewarning Form

Please read, sign and list your sport at the bottom of the page. In signing this document you understand that these injuries are a possibility with participation in athletics at MSU.

Insurance Forms

Please fill out the Acknowledgement of Insurance Form

HIPAA Form

The HIPAA privacy practices and consent form allows us to maintain medical records on you while you are here competing for MSU. We keep these records for ten years after you are done participating, so if you are to ever need any information from these records feel free to contact us. Our records are kept confidential and if you do not want us to talk with parents or coaches about your injuries be sure to verbally tell us at the time of your injury. Please initial the first paragraph in three blanks. Then initial the paragraph starting with (Your rights as a patient) about 3/4 of the way down the page. Finally sign your name with today's date, list your sport and the expiration date (a year from today).

Sports Medicine Information Form

This is an explanation of the medical services provided at MSU. There is a brief description of MSU secondary insurance and the athletic training room procedures. Please make sure that you read this in its entirety.

InjuryZone

Health History - Returning Athletes please login to the InjuryZone webpage and update your demographic information and fill out a new health history form.  Do not update your old health history form, it will not save.  Turn off pop-up blockers when you update your health history.

To login do the following:

1. Login is your last name and the first letter of your first name.
   Ex. DowneyS (this would be my login Sarah Downey)
2. Password is the year you were born followed by the month and date. (yyyymmdd)
   Ex. 19731008 (My birthday is October 8th, 1973)
3. Once you login your name appears on the top left hand side of the screen next to Presagia Sports. A demographic page will come up and you need to update all of this information.
4. In order to edit year in school click on it to and edit from the screen that pops up.
5. Update your address information by clicking on the edit tab on the right hand side. Make sure to correct phone numbers and include your cell phone number as well.
6. Current address should be where you live in Mankato while you are going to school. Don't forget to save all changes.
7. Then click on medical summary at the top left side of the page below your name. A new page comes up with MAV Health History listed with an arrow on the left and a plus sign on the right.
8. Click on the plus sign to get a new MAV health history form. Then go through and answer the yes/no questions using the drop downs and save at the end. Explain any questions answered yes to with dates, body parts and left or right in the space provided at the bottom of the form.
9. SAVE your work - If you don't save you will lose all your information and have to start over again.
10. You will know that it is saved when the current date is listed under the Health History tab on the medical summary page.

NCAA Evaluation Forms for ADD & ADHD Medication Users

The NCAA has set guidelines for useres of medication to control ADD and ADHD symptoms due to an increase of this type of medication abuse.  If you begin taking this medication after your freshmen year, we need you to have specific documentation stating that you have gone through the proper testing on file.  If we do not have the proper documentation and a NCAA drug test is done and comes back with a positive test, you will be guilty regardless of the prescribing physician.  Please print out the NCAA guidelines and self-reporting form and take them to your prescribing physician.  Then speak with your athletic trainer and make sure you are in compliance.

 [PDF] NCAA ADHD Evaluation Form (40 Kib)

[PDF] Adult ADHD Self-Report Instructions and Scale Form (35 KiB)

 

If you have any questions feel free to contact Sarah Downey, Assistant Athletic Trainer, at 507-389-5461.